Outcomes after thyroidectomy and parathyroidectomy

Prateek K. Gupta, Russell B. Smith, Himani Gupta, R. Armour Forse, Xiang Fang, William M. Lydiatt

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

Background Previous reports on postoperative outcomes following thyroid and parathyroid surgery are limited by relatively small sample size. We report 30-day outcomes following thyroid and parathyroid surgery and analyze factors affecting length of stay (LOS) and postoperative adverse events (AEs). Methods The multicenter, prospective, National Surgical Quality Improvement Program (NSQIP) datasets (2007/2008) were used. Multivariable logistic regression and analysis of covariance (ANCOVA) were performed. Results Patients undergoing thyroidectomy, parathyroidectomy, or both were identified (n = 13,380, 6154, 1535, respectively). Thirty-day mortality was 0.08%, 0.16%, and 0.2%, respectively; 30-day morbidity was 3.50%, 3.02%, and 4.04%, respectively. Mean LOS values were 1.1 ± 1.4, 1.1 ± 2.1, and 1.4 ± 3.1 days, respectively. Congestive heart failure, dependent functional status, dialysis dependence, and chronic corticosteroid use were significantly associated with increased LOS and postoperative AE. Conclusions Morbidity and mortality rates following thyroid and parathyroid surgery are low. These data could be used by third-party interests, and surgeons should be aware of them to ensure their outcomes are in the national norm.

Original languageEnglish (US)
Pages (from-to)477-484
Number of pages8
JournalHead and Neck
Volume34
Issue number4
DOIs
Publication statusPublished - Apr 1 2012

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Keywords

  • length of stay
  • morbidity
  • mortality
  • outcomes
  • parathyroidectomy
  • thyroidectomy

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Gupta, P. K., Smith, R. B., Gupta, H., Forse, R. A., Fang, X., & Lydiatt, W. M. (2012). Outcomes after thyroidectomy and parathyroidectomy. Head and Neck, 34(4), 477-484. https://doi.org/10.1002/hed.21757